Re: GYNECOLOGIC: Adhesions without prior surg. ?GYN related?
From: MaryBar (anonymous@obgyn.net)
Mon, 4 Aug 2008 09:46:38 -0500 (CDT)
Thank you SO MUCH for the info. I was really wondering about
endometriosis because both my mother and sisters have it (mother had a
severe case) and none of them had PID either. I've never had the severe
pelvic symptoms they have, so I thought maybe I had escaped it.
I do indeed wonder if this is the case. Thank you for sharing your
experience. I hope you are feeling better these days.
Mary
At Sun, 3 Aug 2008, Anon wrote:
>
>Mary, I have endometriosis. I also had adhesions with NO risk factors.
>I have never had ghonorea or clamidia or PID. I also had never had any
>abdominal surgery. I have medical paperwork/tests/cultures to back it
>up.My dh and I have been married for over 13 years and have been
>monogamous. Anyway, I had severe lower pelvic pain. My ob finally went
>in and did a lap. I had adhesions tying the left ovary and tube to the
>peritineum wall and bowel. My ob lysed the adhesions and pain was gone.
>Several months later it came back when a cyst burst and irritated the
>area. Another lap was done and scarring from endometriosis was present.
>At that point I demanded to see a pelvic pain specialist. When I saw
>the specialist, he said my adhesions were caused by endometriosis (Same
>thing my ob said as I had no risk factors either). He also said 90% of
>adhesions in women with no known risk factors are caused by
>endometriosis. He said the second lap confirmed it when the scarring
>from endo (which was not present before) was there. Just thought I
>would present another reason as to why.
>
>At Fri, 1 Aug 2008, MaryBar wrote:
>>
>>Dr. van Almen,
>>Thank you for your timely reply. I am still puzzled about the PID
>>issue, however, because as I said I have never had Chlamydia nor
>>Gonorrhea. (Unless my husband does, and that would be a WHOLE different
>>story, wouldn't it?) Nor can I recall any intra-abdominal infectious
>>process.
>>
>>I will be seeing my GYN ASAP. Needless to say, this has me frazzled. I
>>am very appreciative of your reply.
>>
>>Mary
>>
>>At Fri, 1 Aug 2008, William F. von Almen, II, MD, FACOG wrote:
>>>
>>>MaryBar
>>>
>>>We call those Fitz-Hugh Curtis adhesions. They are classically from
>>>either gonorrhea or chlamydia. This is a result of the 'bug' getting
>>>from the tubes into the peritoneal cavity and settling up by the liver
>>>and causing the adhesions ( and it could have happened decades ago, and
>>>not resulted in true infertility). I have never done extensive research
>>>into the disease, but I suppose they could also be from any kind of
>>>intraabdominal infection that settled up by the liver...Dr. von Almen
>>>
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